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Patients have generally well-tolerated with this medication, with few serious side effects reported

For suspected inflammatory conditions, erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) may be appropriate

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Overall, vitamin B12 deficiency is treatable and can lead to serious neurological sequelae if left untreated, so it is important to consider vitamin B12 deficiency as a potential cause in patients with unexplained epilepsy, especially when accompanied by macrocytic anemia [85]